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Ross, M. W., Wodak, A., Stowe, A., & Gold, J. (1994). Explanations for sharing injection equipment in injecting drug users and barriers to safer drug use. Addiction, 89, 473–479.
Abstract: We examined the explanations given by a sample of 1245 injecting drug users in Sydney, Australia for accepting used injection equipment. Factor analysis of these reasons revealed three dimensions of sharing: not caring when withdrawing or intoxicated, unavailability of equipment, and not seeing it as high risk or ease of injecting. The most common reasons given were difficulty in obtaining sterile equipment (73% of cases), the dangers not seeming so important when in withdrawal (40%) and sharing being something done with friends or lovers (31%). Most common reasons for not sharing were related to health issues (91% citing AIDS and 67% hepatitis). These data suggest that interventions target provision of sterile equipment, and education which highlights risk situations such as intoxication and withdrawal.
Keywords: harm reduction
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Turner, B. J., Markson, L., Hauck, W., Cocroft, J., & Fanning, T. (1995). Prenatal care of HIV-infected women : analysis of a large New York state cohort. Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association, 8(9), 371–379.
Abstract: We examined the effect of methadone treatment, duration of Medicaid enrollment during pregnancy, and other maternal characteristics on receipt of prenatal care by 2,254 women infected with human immunodeficiency virus (HIV) delivering a singleton in New York state from 1985 through 1990. Data were obtained from the New York State Medicaid HIV/AIDS Research Data Base and vital statistics records. Adequacy of the number of prenatal visits reported by the mother on vital statistics records was assessed with use of the Kessner Index, which adjusts for gestational age at delivery. Too few visits were reported by 65% of the study population. Illicit drug users had higher odds of having too few visits [1.64, 95% confidence interval (CI) 1.24-2.17] than methadone-treated women but the odds were similar for non-drug users and methadone-treated women (0.79, 95% CI 0.60-1.25). Women with brief Medicaid enrollment (< or = 25% of pregnancy) had 45% higher odds of having too few visits than did longer enrollees. Treatment for drug addiction and longer Medicaid enrollment during pregnancy may offer important interventions to increase prenatal care of HIV-infected women. Approaches to increase prenatal care of HIV-infected women are especially important given trials showing a reduction in vertical transmission from zidovudine treatment during pregnancy.
Keywords: treatment and maintenance; methadone maintenance; woman; pregnancy; HIV infection; prenatal care; United States; New York City; study; drug substitution therapy
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Stevens-Watkins, D., & Rostosky, S. (2010). Binge drinking in african american males from adolescence to young adulthood : the protective influence of religiosity, family connectedness, and close friends' substance use. Substance use and misuse, 45(10), 1435–1451.
Abstract: We examined the contribution of culturally relevant protective factors (i.e., adolescent religiosity, family connectedness, and perceived close friends’ substance use) to the probability of young adult binge drinking among African American males. Participants (n = 1,599) drawn from the National Longitudinal Study of Adolescent Health were high school age adolescents (14-18 years, M = 16) at Wave 1 and young adults (18-26, M = 22) at Wave 3. Adolescent binge drinking was associated with all three protective factors. Perceived close friends’ substance use in adolescence was a protective factor in later binge drinking during young adulthood, and was moderated by age such that the effect was stronger for younger adolescents. Implications for culturally relevant research and prevention are discussed.
Keywords: African American; man; gender; adolescent; young adult; binge drinking; protective factors; spirituality and religion; religiosity; peer; group of intimates or friends; family; type of society and culture; research; study; statistical data
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Kolar, A. F., Brown, B. S., Weddington, W. W., Haertzen, C. C., Michaelson, B. S., & Jaffe, J. H. (1992). Treatment of cocaine dependence in methadone maintenance clients : a pilot study comparing the efficacy of desipramine and amantadine. International journal of the addictions, 27(7), 849–868.
Abstract: We conducted a pilot study (N = 22) comparing the efficacy of desipramine and amantadine for treatment of cocaine dependence in methadone maintenance clients. The study which lasted 12 weeks, was double-blind, randomly assigned, and placebo-controlled. Subjects met DSM-III-R criteria for active cocaine dependence. All three groups’ cocaine use, craving, and depressive symptoms declined significantly, but intergroup differences were not significant. Clients receiving desipramine were significantly more likely to remain in treatment and to be cocaine free at study completion. The results emphasize the importance of delivering comprehensive services to the cocaine user in methadone treatment. Further evaluations of these two medications as adjuncts in the treatment of cocaine dependence are needed.
Keywords: addiction; AOD dependence; chemical addiction; cocaine
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UK Drug Policy Comission. (2012). A fresh Approach to drugs : the final report of the UK Drug Policy Commission. London: UK Drug Policy Commission (UKDPC).
Abstract: We all have an interest in knowing which policies work in tackling problems associated with drug use. Many members of the public, and many politicians, believe that our drug policies are not working. But the debate about how we address the challenges of mind-altering drugs is polarised in a way not seen in most other policy areas. The UK Drug Policy Commission was established to address these problems in a different way. Its aim has been to show how independent scrutiny of evidence can produce both better results and more effective use of resources in drug policy and practice. Existing drug policies have struggled to limit the damage drug use can cause, and now new challenges are emerging. The rapid development of new drugs is changing drug markets too quickly for the traditional methods we use to control drugs to be effective. The economic crisis may be impacting on the nature of drug use and drug problems and, with fewer resources, the capacity of services to respond will be limited further. Added to that, the speed and scale at which services are being devolved to a local level may create increasing and unpredictable variations in the kind of services offered in different parts of the UK. In this report, UKDPC proposes a radical rethink of how we structure our response to drug problems. It provides an analysis of the evidence for how policies and interventions could be improved, with recommendations for policymakers and practitioners to address the new and established challenges associated with drug use. UKDPC aims to foster a fresh approach to drug policy: one in which evidence takes priority, creating light rather than heat in the debate on drugs, so that we can create an environment that works to reduce dependence on drugs, safeguards communities and delivers value for money.
Keywords: public policy; public policy on AOD; public policy on health; work; crime; government and politics; laws and regulations; prevention; public health; treatment and maintenance; stigma; policy recommendations; national area; United Kingdom; report
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Däpp, W. (1989, 20.12.1989). Wie sind herumliegende Fixerspritzen “sauber” zu entsorgen? Der Bund, 19.
Abstract: wd. Die Forderung nach einer besseren Entsorgung herumliegender Fixerspritzen ist auch in der Stadt Bern nicht erst seit der letzten “Kassensturz”-Sendung des Fernsehens DRS unüberhörbar. Die Stiftung Contact und die Drogenkommission haben dem Gemeinderat unlängst entsprechende (recht weitgehende) Vorschläge unterbreitet.
Keywords: illicit drug; heroin; societal attitude toward AOD; harm reduction; needle distribution and exchange; infection; information service; Switzerland; Berne
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Ott, R. (2013). Einstellungen und Umgang von ÄrztInnen mit Neuro-Enhancement. SuchtMagazin, 39(3; 06/2013), 25–27.
Abstract: Würden Sie als Arzt, als Ärztin einer gesunden Person, die nach Ritalin als Leistungshilfe vor einer wichtigen Prüfung fragt, dieses Produkt verschreiben? Dieser und ähnlichen Fragen geht eine Studie aus Zürich nach. Die befragten ÄrztInnen stehen solchen Produkten zurückhaltend bis ablehnend gegenüber, doch wird auch eine gewisse Ambivalenz in den Antworten sichtbar. Weiter konnte gezeigt werden, dass in den Praxen dieser ÄrztInnen nach solchen Produkten gefragt wird, wenn auch eher selten. Entsprechende Studien aus dem Ausland zeigen ein ähnliches Bild.
Keywords: enhancement; brain; drug prescription practices; general practitioner; ethics; study; Switzerland; Zurich; international area
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Pomper, D. (2010, 17.07.2010). Frauen heiss auf Sex-Chats – Sucht-Experten warnen. 20 Minuten, 9.
Abstract: Während Männer Pornos konsumieren, sitzen Frauen keineswegs unschuldig zu Hause rum – sondern vergnügen sich in Sex-Chats. Experten warnen vor Suchtgefahr.
Keywords: sex; internet; addiction; gender differences; study; Sweden; Switzerland
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Salis Gross, C., Schnoz, D., & Cangatin, S. (2009). (Nicht-)Rauchen wie ein Türke? SuchtMagazin, 35(4; 08/2009), 30–34.
Abstract: Während der Tabakkonsum in der Allgemeinbevölkerung der Schweiz abnimmt, sind die Prävalenzen bei einigen Gruppen der Migrationsbevölkerung noch sehr hoch. Trotzdem sind diese Bevölkerungsgruppen in üblichen Rauchstopp-Therapien kaum präsent. Mit einem migrationssensitiven Ansatz sind diese deutlich besser und mit Erfolg erreichbar.
Keywords: AOD use, abuse, and dependence; migration; addiction care; journal article
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Maffli, E., & Delgrande Jordan, M. (2010). Altersentwicklung in der Suchthilfe – neue Herausforderungen für die Praxis? SuchtMagazin, 36(3; 06/2010), 16–19.
Abstract: Während der Anteil älterer Hilfesuchender mit einem Alkoholproblem auf verhältnismässig hohem Niveau konstant bleibt, gewinnt dieser Anteil bei den Kokain- und insbesondere bei den Opiat-KlientInnen zunehmend an Bedeutung. Dies lässt sich grossenteils darauf zurückführen, dass es mit der Zeit immer mehr altgewordene FrüheinsteigerInnen gibt («survivors»). Bedenkenswert ist aber, dass einige KlientInnen relativ spät mit dem Konsum von Kokain oder Opiaten begonnen haben («reactors»).
Keywords: AOD use, abuse, and dependence; chemical addiction; elderly; old age; journal article
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